多梦患者多导睡眠监测的特点分析
Analysis of characteristics of polysomnography in patients with multiple dreams
目的 对多梦患者的多导睡眠监测(PSG)进行回顾性分析,探讨多梦患者的睡眠结构特点,为多梦的治疗提供理论依据.方法 选择2015年7月至2018年2月在郑州大学人民医院神经内科以“多梦”为唯一主诉并完善PSG的22例患者作为多梦组,同期行PSG的12名健康体检者为对照组,收集并记录两组PSG的相关睡眠参数,比较两组间的差异.结果 多梦组和对照组在呼吸暂停低通气指数、睡眠潜伏期、快速眼球运动睡眠期潜伏期、慢波睡眠比例、快速眼球运动期微觉醒指数上比较差异无统计学意义.与对照组相比,多梦组睡眠效率(分别为73.46%±12.41%和90.43%±4.42%,t=-4.555,P=0.000)、快速眼球运动睡眠期比例(分别为16.28%±5.59%和21.59%±2.70%,t=-3.727,P=0.001)减少;浅睡眠比例(分别为66.49%±9.97%和59.85%±3.01%,t =2.966,P=0.006)、觉醒次数[分别为(13.4±6.98)次和(6.08±3.34)次,t=3.411,P=0.002]、微觉醒指数(分别为20.11±10.69和11.82±8.09,t=2.338,P=0.026)、非快速眼球运动睡眠期微觉醒指数(分别为20.22±10.53和12.08±8.69,t =2.283,P=0.029)增多.结论 多梦患者的睡眠效率下降,其感知的梦境可能发生于浅睡眠期.
更多Objective To investigate the characteristics of sleep structures in patients with multiple dreams through the retrospective analysis of polysomnography in patients with multiple dreams,and to provide a theoretical basis for the treatment of multiple dreams.Methods Twenty-two cases with multiple dreams in Department of Neurology,the People's Hospital of Zhengzhou University from July 2015 to Ferbuary 2018 were included in multi-dream group and 12 healthy people in control group.The sleep parameters related to polysomnography during the visit were collected and recorded,and the differences between the two groups were compared.Resluts There was no statistically significant difference in apneahypopnea index,sleep latency,rapid eye movement (REM) sleep latency,slow-wave sleep ratio,and REM-arousal index between the two groups.Compared with the control group,sleep efficiency (73.46% ± 12.41% vs 90.43% ± 4.42%,t=-4.555,P=0.000),REM period ratio (16.28% ± 5.59% vs 21.59% ± 2.70%,t =-3.727,P =0.001) decreased in the multi-dream group;whereas ratio of light sleep (66.49% ±9.97% vs 59.85% ±3.01%,t =2.966,P =0.006),awakening numbers (13.4 ±6.98 vs 6.08 ± 3.34,t =3.411,P =0.002),arousal index (20.11 ± 10.69 vs 11.82 ± 8.09,t =2.338,P =0.026),non-REM arousal index (20.22 ± 10.53 vs 12.08 ± 8.69,t =2.283,P =0.029) increased.Conclusion The sleep efficiency of patients with multiple dreams is reduced,and their perceived dreams may originate from light sleep periods.
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